Individual
AMANDA GALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSW
Contact information
Practice address
361 E NEWSOME PARK LN, SALT LAKE CITY, UT 84115-4972
(801) 588-9129
Mailing address
361 E NEWSOME PARK LN, SALT LAKE CITY, UT 84115-4972
(801) 588-9129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6953390-6004
UT
Other
Enumeration date
05/10/2013
Last updated
10/07/2019
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